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5 Symptoms That Suggest You Should See a Pediatric Neurologist
When I tell people I am a pediatric neurologist, the most common question is whether or not I perform brain surgery. A neurologist and a neurosurgeon are frequently confused, and while we work closely together, our jobs are very different. So, what does a neurologist do? Neurologists specialize in the treatment of disorders of the central and peripheral nervous systems, which include the brain, spinal cord, peripheral nerves, and even muscle. The nervous system is wondrously complex machinery that coordinates seamless communication between the brain and body, allowing you to sing to your children while navigating your way through heavy traffic to a new store without getting into an accident. When you think about it, it's pretty amazing! Neurologists are medical professionals with a unique type of expertise that can help individuals facing myriad neurological issues. Specialized training in the anatomy and physiology of the nervous system, as well as its pathology, allows them to effectively diagnose and treat the full range of conditions affecting the brain, spinal cord, and peripheral nerves. Additionally, neurologists use imaging technologies such as MRI and CT scans to identify more complex problems. Typically they also run neurological exams which provide further information regarding disorders related to muscle weakness, paralysis movement problems, and other coordination difficulties. Therefore, if your child is experiencing any of the below symptoms it is best to visit a pediatric neurologist. 5 Symptoms That Suggest You Should See a Neurologist

If your child is experiencing any of the following neurological symptoms then visit a pediatric neurologist

 

 - Frequent or severe headaches or migraines

If your child experiences frequent or severe headaches and migraines, you should consider speaking to a neurosurgeon. Neurosurgeons are medical doctors who specialize in the diagnosis and treatment of diseases of the nervous system. At Children's Neurosurgery in NJ, our neurosurgeons have extensive experience diagnosing and treating children with chronic headaches or migraines. We offer a range of treatments tailored to children’s neurosurgery, from medications and lifestyle changes to neurosurgical procedures, depending on the underlying cause of your child’s headaches or migraines. Our neurosurgeons will work with you and your child to develop a treatment plan that best suits their needs.

 - Problems with memory

Memory problems can occur as a result of various factors, such as traumatic brain injury, neurological disorders, and certain medications. Neurosurgeons for kids offer comprehensive services to help diagnose, treat, and manage issues related to memory problems in children. They work with neuropsychologists, neurologists, neuro geneticists, neurophysiologists, neuro-oncologists, and neuropsychiatrists to ensure that a child has access to the best care possible. Memory loss can range from mild forgetfulness to major memory impairment.

 - Seizures

Seizures can be caused by several factors in many cases, the cause is unknown. Seizure symptoms vary depending on the type of seizure occurring. Common signs include convulsions, loss of consciousness or awareness, staring, lip smacking, jerking movements of the arms and legs, and confusion. Seizures can be treated with medications or surgery in extreme cases. Medications are usually used first to try to reduce the frequency and severity of seizures. 

 - Brain or spinal cord injury

Brain or spinal cord injuries can be some of the most debilitating medical conditions a person can suffer from. The effect of these injuries on a person’s ability to function normally depends on the severity of the injury itself as well as other factors such as the person’s age, existing medical conditions, and overall health. Most brain and spinal cord injuries occur due to accidents such as car crashes, falls, or sports activities. However, some can be attributed to medical errors or other causes that are not accidental.

 - Problems with movement

Movement problems can be caused by a variety of factors, including physical impairments or illnesses, developmental delays, and psychological disturbances. Physical impairments that may contribute to movement problems include neuromuscular diseases such as muscular dystrophy, cerebral palsy, and spinal cord injuries; musculoskeletal conditions such as arthritis or back pain; and conditions such as stroke or traumatic brain injury. Developmental delays can also lead to movement problems, as a child's motor skills may not develop at the same rate as his or her peers. Psychological disturbances such as anxiety, depression, and obsessive-compulsive disorder can also interfere with normal movement patterns. 

 - Numbness

Numbness is a lack of sensation or feeling in a specific area of the body. It can be caused by an injury, surgery, nerve damage, diabetes, malnutrition, and even emotional distress. Numbness can sometimes be accompanied by tingling sensations or burning pain. When numbness is localized to just one area of the body, it is known as mononeuropathy. This type of numbness can be caused by a pinched nerve or direct trauma to the affected area. If numbness affects multiple areas of the body, it is known as polyneuropathy and is usually caused by diseases like diabetes, alcoholism, vitamin deficiencies, or exposure to toxins.

 - Clumsiness or confusion

Clumsiness and confusion can have a significant impact on our lives. It can lead to stress, frustration, and even embarrassment when we’re unable to accomplish tasks that should come easily. Fortunately, some strategies and techniques can help people manage the effects of clumsiness or confusion. One such technique is cognitive restructuring. This involves changing the way we think about our clumsiness or confusion, helping us to view it in a more positive light and focus on what we can do instead of focusing on what we can’t do.

Conclusion

In conclusion, the previously mentioned neurological symptoms indicate that you should visit a neurologist as soon as possible. If you are located in New Jersey and are looking for pediatric neurology services, look no further than New Jersey Pediatric Neuroscience Institute. It is important to remember that timely diagnosis and treatment of neurological conditions are essential, so you should not hesitate to make an appointment with a pediatric neurology professional if you or your child is experiencing any of the symptoms mentioned earlier. Taking care of neurological issues promptly can help ensure that conditions are managed effectively, improving the quality of life for those affected.
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Back To School
NJPNI welcomes all students, teachers, and families back to school! Let’s have a safe and healthy 2022-2023 school year! If your child needs an appointment after hours, or on weekends, please ask us about CONCIERGE services available for special situations. We will do our best to accommodate! Please call and ask about after hours appointments and concierge services if you have special needs! (973)326-9000
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Cephalohematoma: Causes, Treatment, Management & Healing Time
Medically Reviewed by: Dr. Tatiana Sikorskyj, APN, RNFA Pediatric Nurse Practitioner
Updated On: 20 Nov 2023
Does your newborn have a surprising bump on their head? it might be a hematoma baby head condition called a cephalohematoma, which typically resolves over time. , It's a collection of blood under the scalp that's common during childbirth. While it sounds scary, these usually resolve on their own. This blog dives into the types, causes, effects, diagnosis, treatment, and much more.So relax, take a deep breath, and let's explore what this bump means for your little one.

What is a newborn cephalohematoma?

Newborn cephalohematoma is a condition that can occur in babies due to pressure or trauma to the head during birth. This leads to a collection of blood underneath the scalp, but it does not pose a risk to the baby's brain as it is located outside the skull. The bleeding is slow and can take hours or days to become noticeable. While infant cephalohematoma is common, affecting around 1% to 2% of newborns, it typically resolves on its own without treatment. It is advisable to consult a doctor who may recommend further evaluation by a specialist. Related Blog: The Role of Physical Therapy in Cephalohematoma Rehabilitation

Types of Newborn Cephalohematomas

While cradling your precious newborn, you might notice a soft lump on their head. This could be a cephalohematoma, a collection of blood under the scalp caused by pressure during delivery. hematoma baby head from vacuum delivery Here's a breakdown of the different types of cephalohematomas in newborns: 1. Early Bird Bumps (Acute Hematoma): These appear right after birth, caused by pressure on the head rupturing tiny blood vessels. 2. Delayed Discovery (Chronic Hematoma):  These show up days or even weeks later. Sometimes, an acute hematoma that wasn't noticed initially can develop into a chronic one. Early diagnosis is crucial for both types. If left untreated, an acute cephalohematoma can develop into a chronic one.

How common is cephalohematoma in newborns?

Cephalohematomas are seen in roughly 2.5% of prolonged and challenging vaginal deliveries. The risk increases to about 1 in 10 babies when an assisted delivery involving vacuum extraction or forceps is needed.

Treatment & Management of Cephalohematoma in Newborns

In most cases, cephalohematomas resolve on their own without the need for medical intervention. However, there are instances where cephalohematoma newborn treatment may be required to avoid complications or promote proper healing. Monitoring the lump closely under a doctor’s supervision is key to determining if further action is needed.

When Is Treatment Needed?

1. Draining the Hematoma: In rare cases, if the hematoma becomes too large or causes excessive tension, a healthcare provider may recommend draining it to relieve pressure. However, draining is generally avoided due to the risk of infection. 2. Surgical Intervention for Calcified Cephalohematoma: If the hematoma hardens and becomes a calcified cephalohematoma, surgical removal might be considered, especially if it interferes with skull growth or causes discomfort.

Management of Cephalohematoma

Proper management of cephalohematoma focuses on monitoring the bump and addressing any complications early. This may include: 1. Observation: Regular pediatric check-ups to track the size and consistency of the hematoma. 2. Treating Complications: If the hematoma contributes to conditions like jaundice or anemia, appropriate treatments, such as phototherapy or iron supplementation, may be needed. 3. Infection Prevention: Parents are advised not to rub or irritate the area to prevent infection. If signs of infection appear, such as redness or fever, immediate medical attention is required. Most cephalohematomas heal naturally over time, and with proper management, the risk of complications is minimal. Regular follow-ups with your doctor ensure your baby’s health and development remain on track.

What are risk factors for newborn cephalohematoma?

Risk factors for cephalohematoma in newborns include: - Assisted delivery methods like vacuum extraction or forceps - Use of epidural pain relief during childbirth - Larger-than-average baby, weighing more than 8 pounds 13 ounces - Birth of multiple babies, such as twins or triplets - Prolonged and difficult vaginal delivery These factors can increase the likelihood of a newborn developing a cephalohematoma. cephalohematoma risk factors

What are the effects of cephalohematoma?

During childbirth, the pressure on a newborn's scalp can lead to the damage or rupture of small blood vessels, resulting in the accumulation of blood under the scalp. This can create a soft bulge or bump, usually at the back of the head, that resembles a bruise. As time passes, the soft mass may begin to harden or calcify. It often shrinks in the center first, giving it a ring-shaped or crater-like look.

Potential Complications

Potential Complications of Cephalohematoma in newborn: - Anemia: A cephalohematoma can lead to anemia in babies due to blood loss. - Calcifications: Cephalohematomas lasting over five weeks may result in calcifications, affecting skull formation. - Infections: Cephalohematoma increases the risk of infections like osteomyelitis, cellulitis, or sepsis. - Jaundice: Blood absorption from cephalohematoma can cause jaundice in babies. - Skull Fractures: Some babies with cephalohematomas may also have linear skull fractures, which typically heal without treatment.

Symptoms of Cephalohematoma

One common sign of cephalohematoma in babies is a soft bulge or bump on the back or top of their head. This bulge usually does not cause any bruising, cuts, or redness on the skin. The size of the bulge can vary, sometimes being more noticeable than others. Initially, the bump will feel soft, but as the blood inside begins to harden, it will become firmer. Over time, the bulge will start to shrink, with the center typically dissolving before the outer edges, giving it a "crater-like" appearance. This is a positive indication that the healing process is progressing well. In addition to the external bulge, newborns with cephalohematoma may experience internal symptoms.

Causes of Cephalohematoma

Cephalohematoma in newborns typically occurs during labor or delivery, sometimes appearing hours or days after birth. It is caused by pressure or trauma to the infant's head, leading to the tearing of blood vessels on the scalp. The specific factors that contribute to head trauma during delivery can vary. One common trigger is when the baby's head makes contact with the mother's pelvic bone while moving through the birth canal. This impact, combined with the force of contractions, can result in a cephalohematoma. Another frequent cause of birth-related head trauma is the use of medical devices like vacuum extractors and obstetrical forceps. These instruments assist in delivery when the mother's contractions are insufficient to propel the baby through the birth canal. However, the pressure applied by these devices can be strong enough to cause blood vessel rupture on the baby's head. Overall, cephalohematoma is a condition that warrants attention and understanding, especially in the context of childbirth and potential causes of head trauma during delivery.

Diagnosis of Cephalohematoma

Your doctor will perform a thorough physical examination of your newborn right after delivery and during the first pediatrician visit within 1-3 days. Sometimes, a bulge may be sufficient for diagnosis, but additional tests such as  X-ray, CT scan, MRI scan, or ultrasound may be requested by the doctor when needed. newborn with cephalohematoma bump

Newborn Cephalohematoma Prognosis

Newborn babies diagnosed with newborn cephalohematoma can usually recover within a few months when given proper treatment. Most cephalohematomas heal on their own without causing long-term physical or developmental issues. Typically, the center of the hematoma will start to shrink first, while the outer edge may become hardened due to calcium deposits. Early detection and treatment of newborn cephalohematomas can help prevent or reduce complications. Failure of healthcare providers to promptly address the signs of an infant hematoma could be considered medical malpractice.

Get Help for Newborn Cephalohematoma from NJPNI

Having a newborn with a bruised-looking lump on their scalp can be worrying, but cephalohematomas are usually harmless. This lump tends to decrease in size and disappear on its own within a few weeks or months without needing any treatment. Your baby's healthcare provider will monitor the bump during their check-ups. Cephalohematomas can slightly raise the risk of jaundice, anemia, and infections in babies. In rare cases, a newborn may have a skull fracture, which typically heals naturally. If your baby is very irritable, displays signs of jaundice, or has trouble eating or sleeping, it's best to contact your healthcare provider promptly.
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Head Injury in Children
Childhood head trauma is one of the most common problems that pediatricians, pediatric neurologists and pediatric neurosurgeons see every year. We see babies that fall off a bed or off a couch. We see toddlers who fall down the stairs. We see kids who fell off their bike or scooter. Please take the extra time to think about your kids and their brains. Many accidents can be avoided with preventive measures. If your child had a head injury and you need your child to be seen quickly, just call us! We can usually get your child seen within 24 hours or sooner if it is an emergency! Just call us at 973-326-9000.
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Ask the Expert: The Common Infant Disorder Every Parent Should Know About
From diagnosis to treatment, an expert at the New Jersey Pediatric Neuroscience Institute explains plagiocephaly BY TATIANA SIKORSKYJ, APN, RNFA Published: June 23, 2022 What is plagiocephaly? Plagiocephaly (sometimes called deformational plagiocephaly or positional plagiocephaly) is a common and treatable disorder in infants. Plagiocephaly develops when an infant’s soft skull becomes flattened in one area due to prolonged pressure on that part of the head. Many babies develop plagiocephaly by sleeping regularly in one position. There are other types of plagiocephaly, some of which are caused by a serious condition called craniosynostosis. In craniosynostosis, the deformity is caused by premature closure of the fibrous joints (“sutures”) between the bones of the infant. Treatment for plagiocephaly usually includes special exercises, physical therapy, varying sleep position or wearing corrective helmets. Click here for the complete article – https://www.njfamily.com/the-common-infant-disorder-every-parent-should-know-about/
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Ask the Expert: Cerebral Palsy, Toe-Walking, and Spasticity: How to Help the Whole Child
Why treating the whole child with CP requires understanding the brain BY CATHERINE MAZZOLA, MD Published: May 6, 2022 Cerebral palsy (CP) is the most common motor disability in childhood, according to Capute and Accardo’s Neurodevelopmental Disabilities in Infancy and Childhood. Babies born prematurely, or with very low birth weight, are at higher risk of developing CP, as compared to normal birth weight babies delivered at term, according to TK. The term “Cerebral Palsy” has Latin and Greek origins. The word “cerebral” comes from the Latin word for brain.  The word “palsy” comes from the Greek word for paralysis, which literally means “loosen,” from the word paralyein, and its roots para (beside) and lyein (to loosen or untie).  Children with cerebral palsy often have a muscle weakness or abnormality caused by brain injury. Click here for the complete article - https://www.njfamily.com/ask-the-expert-cerebral-palsy-toe-walking-and-spasticity-how-to-help-the-whole-child/
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SAVE THE DATE!! - 11th Annual Gala 2022
SAVE THE DATE!! - 11th Annual Gala 2022 Donating to the event helps in supporting Kid Around the World!! Craniofacial differences can have an impact on the emotional and psychological well-being of children around the world. We strive to provide children and their families the care and support they need to overcome these obstacles Join us for a night filled with fun, great presentations, and your chance to win some great gift baskets, silent auction items or 50/50 raffle! All donations help to support the NJ Craniofacial Center on their next mission trip! Buy Tickets or Donate Here - https://www.eventbrite.com/e/nj-craniofacial-center-gala-tickets-299490091927?aff=erelexpmlt
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SPRINGTIME IS HERE!!!
It’s finally here! SPRNGTIME and good weather, baseball and softball, and more outdoor activities. Please make sure your children are wearing helmets on their bikes, scooters, roller blades, and other rides. If your child has a head injury, remember RICE. Rest, ice the bump or area, compression if there is bleeding, and elevate the head. Please seek an evaluation from a physician if your child has any concerning symptoms like worsening headache, vomiting, slurring of speech, memory issues, blurry vision, or any other neurological problem.
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March 2022 Newsletter - National Nutrition Month
March 2022 Newsletter - National Nutrition Month NJPNI NOW HAS A NUTRITIONIST ON STAFF! Headaches & Nutrition. Magnesium is one of those Neurology super-nutrients. Magnesium is great for preventing headaches. It's also very helpful in treating symptoms of ADHD, tics, and anxiety. Getting more magnesium through nutrition is key!
   
NJPNI NOW HAS A NUTRITIONIST ON STAFF! Click Here to Make an Appointment Today
Headaches & Nutrition
Magnesium is one of those Neurology super-nutrients. Magnesium is great for preventing headaches. It's also very helpful in treating symptoms of ADHD, tics, and anxiety. Getting more magnesium through nutrition is key!
Here's what you can do (drink-wise) to help end a migraine. Water, water, water!!!! If you are a tea person, go with ginger or peppermint tea. Ginger ale and coconut water are two other options.
Here are a few heavy-hitters for causing migraines. Eliminating triggers helps to bring down the frequency and intensity of migraines, but it may not completely eliminate them.
Brain Boosting Foods for Kids
Nutrition can be so complex, so we are going to break it down for you! According to the Academy of Nutrition and Dietetics, kids need omega-3 fatty acids for brain function and development. Additionally, they suggest that omega-3 fatty acids may help manage psychological and behavioral conditions. It is important for focusing!
Omega-3s are “essential” fatty acids that our bodies need but can’t make on their own. We must rely on our diet to get enough of them.

Here is a list of some delicious, brain-boosting snacks that may positively affect your child’s cognitive processes, emotions, and give them the very best chance to live their happiest lives.

  • Avocado Toast - Avocados are rich in monounsaturated fatty acids that improve our cognitive function and lower inflammation. Pair that with whole-grain gluten-free bread, drizzle a little bit of olive oil, salt, and pepper and you have a tasty brain-boosting snack.
  • Tuna Salad with Whole-Grain Gluten-Free Crackers - Tuna is a great option for (healthy) fatty fish. Pair it with some whole-grains for a perfect mid-day snack!
  • Green Smoothie - Smoothies can be a great way to get in some extra fruits and vegetables into our day. Add some nut-butter, avocado, chia or flaxseed for an added omega-3 and vitamin E boost. For our picky eaters, you can try freezing them in popsicle molds for a fun, refreshing twist!
  • Kale Chips - Green, leafy vegetables are loaded with so many wonderful vitamins and minerals, including vitamin E. What better way to eat them than in chip form! Just toss them in some olive oil, salt, and pepper to taste.
  • Apple Slices with Almond Butter (or any nut butter of your liking!) - Apples are rich in many vitamins and minerals, and almond butter, is rich in vitamin E and omega-3’s, which can help slow the release of naturally occurring sugar and prevent a blood sugar spike.
  • Homemade Trail Mix - You can mix and match different dried fruits with nuts and seeds of your choice. Add some cacao nibs for another antioxidant boost.
Lastly, a BIG welcome to our new Neurology Nurse Practitioner, Heather Weiner! Make an appt with her TODAY!
FOLLOW US ON SOCIAL MEDIA!
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Properly Treating ADHD Requires a “Whole-Child” Approach
Why treating the whole child requires addressing all his or her problems, not just ADHD. BY DR. JEFFREY KORNITZER Published: November 13, 2021 It’s not just your imagination. The diagnosis of ADHD (attention-deficit/hyperactivity disorder) has been steadily increasing over recent decades. In New Jersey, nearly 6 percent of children aged 4-17 years old are diagnosed with ADHD. While scientists and epidemiologists work to sort out the causes, many parents are left to deal with the reality: a child with ADHD. For many parents of a child with ADHD, the word “treatment” often triggers an image of a child becoming zombie-like on medication. Parents cannot be blamed for such an intrinsic reaction. Media images of ADHD and treatment of ADHD have been demonstrably biased, providing low-quality and poorly sourced information. Check out the full article here - https://www.njfamily.com/properly-treating-adhd-requires-a-whole-child-approach/
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Caring for your child's well-being is our number one priority. 
Schedule an appointment with a world-class pediatric neurology and neurosurgery team at NJPNI now.
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NOTICE: This website is for informational purposes only and is not intended as medical advice or as a substitute for a patient/physician relationship.

NJPNI is committed to creating a culturally diverse, inclusive and collaborative community for patients and their families, employees and associates where each person is celebrated and has a sense of equal belonging. See our DEI Statement Page for more information.

NJPNI does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations part 80, 84, and 91.

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